JAMES ST CLAIR, MD, PHD
Orthopaedic Surgery of the Spine Physician · MUNSTER, IN
Individual Active NPI 1942650700
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 362 | 1,262 | $460,955 | $152,334 | $117,619 |
| 2023 | 302 | 822 | $360,507 | $119,669 | $91,996 |
| 2022 | 197 | 494 | $350,705 | $60,920 | $48,011 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 235 | $115 | $88 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 121 | $81 | $63 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 118 | $150 | $110 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 101 | $27 | $20 |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 81 | $41 | $29 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 68 | $15 | $12 |
| 22614 | Fusion of additional segment of spine | 59 | $175 | $140 |
| 72040 | X-ray of upper spine, 2-3 views | 52 | $28 | $21 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 38 | $167 | $119 |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment | 23 | $69 | $55 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 21 | $120 | $96 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 21 | $107 | $85 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | ✓ | 01088114A | IN |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 286571 | MA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Orthopaedic Surgery of the Spine Physician providers in Indiana
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See all Orthopaedic Surgery of the Spine Physician providers in Indiana →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.